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F~ 668
taev seotember 1 e~a~
Oishict
JACIfSONVIL7~:
DepaAment of the Treasury - letemal Revenue 3ervice
Notice of Federal Tax Lien Under iniernal Revenue Laws
Serial Number 5~~~~~
As provided by sections 6321. 6322. and 6323 of the Intemal Revenue Code.
notice is given that tanes (including interest and penalties~ have been assessed
against the following-named taxpaye~. Demand for payment of this liability has
been made. but it remains unpaid. Therefore. there is a lien in favor of rite United
States on ali property and rights to property belonging to this taxpayer for the
amount of these taxes. and additional penalties, interest. and c~sts that may
BCCfU@.
Name of Taxpayer
JOSEPH & ANNIE OSBY
Residence
809 N 19th St.
Ft. Pierce. Fl. 331+50
Kind of Tax Tax Period Ended O~ste of Anessment
(U /0) (c)
l04o iz-31-79 »-24-80
Place of Filing -
Clerk of Circuit Court
3t. Lucie County Couathouse
Ft. Pie~ce, F1. 33~.5~
This notice was prepared and signed at ~• ~~cg, ~•
. on mis.
the 11thdayof Deceffiber .~g 80
~~
S' ature Title
Revenue Officer
~ (No ~c c.rriliurs onic.i eurnorrzw by raw ro ak• ~crcnow~.o~n~ea ts no~ ~ss~nrw ro rn~ vtlauy a Notlc~ a
T~r LNn . M. 2A~i~ 1D50-1, C.9. 125.)
g `~` r~i5~28
Psrt 1- To bs kept ti~r recordinp ~~ Form 668 (Rev. a781
fo. oarro~a+ us. by a.~waww on~•
~980 OEC 23 J~I k~ 10
s R~06ER POITRAS~.
@IERK CIRCUIT 60UR
R~CORA ~'EMFt~!?__ _._ _
s~14~s
IdenUt~-irq Number
(d)
263-36-3840
Unpafd Balance
~ As~essment
[~)
$2, ~+62.08
Total = 2, 462.08
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